Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma

Mechanical thrombectomy (MT) alone in cases of large-vessel acute ischemic stroke (AIS) with a concomitant subdural hematoma (SDH) seems feasible and safe, but there's still a lack of evidence in the clinical literature. We report three cases of AIS with SDH, of which MT was performed with succ...

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Main Authors: Yong-Won Kim, Dong-Hun Kang, Yang-Ha Hwang, Yong-Sun Kim, Sung-Pa Park
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2013-09-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/ni-8-115.pdf
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author Yong-Won Kim
Dong-Hun Kang
Yang-Ha Hwang
Yong-Sun Kim
Sung-Pa Park
author_facet Yong-Won Kim
Dong-Hun Kang
Yang-Ha Hwang
Yong-Sun Kim
Sung-Pa Park
author_sort Yong-Won Kim
collection DOAJ
description Mechanical thrombectomy (MT) alone in cases of large-vessel acute ischemic stroke (AIS) with a concomitant subdural hematoma (SDH) seems feasible and safe, but there's still a lack of evidence in the clinical literature. We report three cases of AIS with SDH, of which MT was performed with successful recanalization and no major changes in SDH: two elderly men with acute traumatic SDH and one man with incidental chronic SDH. (1) A 67-year-old man with acute traumatic SDH in the right side developed right middle cerebral artery (MCA) stroke, (2) a 72-year-old man with chronic SDH in the left side developed right MCA stroke, and (3) a 76-year-old-man with acute traumatic SDH in the right side developed top-of-basilar artery syndrome. As for AIS patients with a SDH, MT may be the only feasible and safe treatment option.
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spelling doaj.art-81512ae1e52a401b871b4cec1712f2d32024-02-02T05:30:37ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732013-09-018211511910.5469/neuroint.2013.8.2.115199Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural HematomaYong-Won Kim0Dong-Hun Kang1Yang-Ha Hwang2Yong-Sun Kim3Sung-Pa Park4Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea.Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea.Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Mechanical thrombectomy (MT) alone in cases of large-vessel acute ischemic stroke (AIS) with a concomitant subdural hematoma (SDH) seems feasible and safe, but there's still a lack of evidence in the clinical literature. We report three cases of AIS with SDH, of which MT was performed with successful recanalization and no major changes in SDH: two elderly men with acute traumatic SDH and one man with incidental chronic SDH. (1) A 67-year-old man with acute traumatic SDH in the right side developed right middle cerebral artery (MCA) stroke, (2) a 72-year-old man with chronic SDH in the left side developed right MCA stroke, and (3) a 76-year-old-man with acute traumatic SDH in the right side developed top-of-basilar artery syndrome. As for AIS patients with a SDH, MT may be the only feasible and safe treatment option.http://neurointervention.org/upload/pdf/ni-8-115.pdfacute ischemic strokesubdural hematomamechanical thrombectomy
spellingShingle Yong-Won Kim
Dong-Hun Kang
Yang-Ha Hwang
Yong-Sun Kim
Sung-Pa Park
Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
Neurointervention
acute ischemic stroke
subdural hematoma
mechanical thrombectomy
title Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
title_full Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
title_fullStr Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
title_full_unstemmed Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
title_short Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
title_sort safe implementation of mechanical thrombectomy in acute stroke patients with major arterial occlusion and concomitant subdural hematoma
topic acute ischemic stroke
subdural hematoma
mechanical thrombectomy
url http://neurointervention.org/upload/pdf/ni-8-115.pdf
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AT yanghahwang safeimplementationofmechanicalthrombectomyinacutestrokepatientswithmajorarterialocclusionandconcomitantsubduralhematoma
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